摘要
目的分析四川省成都市锦江区社区18岁以上居民冠心病的患病现状,探究其关联因素,为社区冠心病的预防控制提供参考依据。方法2021年10月15日至11月10日,采用多阶段分层随机抽样的方法在成都市锦江区33个社区抽取5220名成年居民进行面对面问卷调查、体格检查和实验室血液检测。运用二分类Logistic回归分析成都市锦江区社区成年居民冠心病患病的关联因素。结果5220名社区成年居民的冠心病患病率为3.39%,标化患病率为2.11%。Logistic回归分析显示,年龄(OR=1.068,95%CI=1.051~1.086,P<0.001)、有抑郁症状(OR=1.639,95%CI=1.037~2.591,P=0.034)、经常锻炼(OR=0.584,95%CI=0.378~0.902,P=0.015)、血压升高(OR=3.529,95%CI=2.344~5.312,P<0.001)、血脂异常(OR=2.152,95%CI=1.291~3.587,P=0.003)以及慢性病核心知识得分(OR=1.144,95%CI=1.066~1.228,P<0.001)是成都市锦江区社区成年居民冠心病患病的关联因素。结论成都市锦江区社区成年居民冠心病患病率较高,高龄、有抑郁症状、缺乏锻炼、血压升高、血脂异常以及慢性病核心知识得分较高的城市居民更易患冠心病。
Objective To analyze the prevalence of coronary heart disease among community residents over 18 years old in Jinjiang district of Chengdu city,Sichuan province,and explore its associated factors,so as to provide a reference for the prevention and control of coronary heart disease in communities.Methods From October 15 to November 10 in 2021,a total of 5220 adult residents from 33 communities in Jinjiang were selected by multi-stage stratified random sampling for face-to-face questionnaire survey,physical examination,and laboratory blood test.Binary Logistic regression was employed to predict the factors associated with coronary heart disease among adult residents in Jinjiang.Results The crude and standard prevalence rates of coronary heart disease among 5220 adult residents were 3.39%and 2.11%,respectively.Logistic regression analysis showed that age(OR=1.068,95%CI=1.051-1.086,P<0.001),depressive symptoms(OR=1.639,95%CI=1.037-2.591,P=0.034),regular exercise(OR=0.584,95%CI=0.378-0.902,P=0.015),elevated blood pressure(OR=3.529,95%CI=2.344-5.312,P<0.001),dyslipidemia(OR=2.152,95%CI=1.291-3.587,P=0.003),and core knowledge score of chronic diseases(OR=1.144,95%CI=1.066-1.228,P<0.001)were associated with coronary heart disease among adult residents in Jinjiang.Conclusions The prevalence of coronary heart disease is high among adult residents in Jinjiang district of Chengdu.The urban residents who are older,have depressive symptoms,lack of exercise,elevated blood pressure,dyslipidemia,and score higher on core knowledge of chronic diseases are prone to coronary heart disease.
作者
刘沁欣
孙畅
李麟华
吴玉菊
周奕杉
麻佳慧
杜艳
刘璐
周欢
LIU Qinxin;SUN Chang;LI Linhua;WU Yuju;ZHOU Yishan;MA Jiahui;DU Yan;LIU Lu;ZHOU Huan(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Forth Hospital,Sichuan University,Chengdu 610041,China;Department of Radiation Oncology,School of Clinical Medicine,Southwest Medical University,Luzhou,Sichuan 646000,China;Pu’er Emergency Rescue Center,Yunnan Province,Pu’er,Yunnan 665000,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2023年第4期556-562,共7页
Acta Academiae Medicinae Sinicae
基金
四川省卫生健康委员会资助项目(21pj065)。
关键词
城市居民
冠心病
患病现状
关联因素
urban residents
coronary heart disease
disease status
influencing factor
